Coronary disease & ACS

Long-Term Survival in Liver Transplant Patients With Coronary Artery Disease: A Multi-Institutional Study

JACC AdvPublished Retrospective cohort study

Main finding · All-cause mortalityResult — go to the resultAdjusted hazard ratio 1.39 CI 1.06–1.82

Authors' conclusion

Contrary to our previous report, this investigation suggests that long-term post-transplant survival is adversely affected by underlying obstructive CAD.

Study context

Population
Adult liver transplant recipients who underwent angiography before transplant at 7 institutions, 1998–2010
Participants
604 recipients
Exposure
Obstructive coronary artery disease (CAD) vs no or nonobstructive CAD
  • CADn = 145
  • No CADn = 459reference
Outcome
All-cause mortality
Follow-up
Mean 87.6 ± 55.6 months
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Adjusted hazard ratio

1.39

CI 1.06–1.82

P = 0.0159

CADvs No CAD
adjusted HR 1.39 (CI 1.06–1.82); P = 0.0159

Observational data: associations, not effects.

Further findings

OutcomeAdjusted HR (95% CI)P value
All-cause mortality, by CAD severity and revascularization (subgroups)Severe CAD (>70% stenosis)vs No CAD1.63 (1.19–2.22)P = 0.002
All-cause mortality, by CAD severity and revascularization (subgroups)Revascularizationvs No CAD1.62 (1.18–2.23)P = 0.003

Original publication

Long-Term Survival in Liver Transplant Patients With Coronary Artery Disease: A Multi-Institutional Study. JACC Adv. Published 5 November 2025. doi:10.1016/j.jacadv.2025.102299

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